The Great Dane Club of America inc.

2009 YEARBOOK MEMBER ADVERTISING FORM

see the NEW online submission form HERE:

http://www.gdca.org/yearbook/

DOG’S NAME: ______________________________________________________________

WHELP DATE: ___/___/__      DATE(S) OF TITLE(S): ___/___/09   --  ___/___/09   --___/___/09

SECTION:                CHAMPIONSHIP      COMPANION EVENTS     HEALTH                (CIRCLE AT LEAST ONE)

 TYPES OF HEALTH CERTIFICATES AND DATES OF EACH:      (2 or more required, 1 must be from 2009)     Must provide documentation if not verifiable online ____________________________________________________________________________

BREEDER’S NAME__________________________________________________________

 OWNER’S NAME(S): _______________________________________________________

 OWNER’S ADDRESS: ______________________________________________________

 CITY: ________________  STATE: ______  ZIP: __________     TEL: ________________

 E-MAIL: ______________________ WEBSITE: __________________________________

 CLUB MEMBERSHIP: GDCA/AFFILIATE CLUB NAME: _______________________________________________________

     (YOU MUST BE A MEMBER OF GDCA OR AFFILIATE CLUB TO QUALIFY FOR ADS)

DEADLINES:
FREE ADS ARE DUE BY OCTOBER 31, 2010!!!!
 
 

****************************************************

In addition to the above information, please include a typewritten three (3) generation pedigree, a copy of the Title certificate(s), and/or health certificates, and a 5x7 photo (uncropped), scanned at 300 dpi.
 

****************************************************

Please enclose $5.00 with this form to cover the return of your photo.

Send to:  Lorraine Matherly
3660 Soquel Drive,
Soquel, CA 95073
E-mail:  glenn@greatdanegazette.com                                 

We would like to encourage electronic submission of  all information including this form. Find it at http://www.gdca.org/yearbook/ 

______________________________________________________________

PRE-ORDER YOUR YEARBOOK

Whether you received any titles for the year 2009, you can pre-order your Yearbook.  Please fill out information above for name and address, and send this form with a check to Lorraine Matherly (made out to GDCA) at the above address.

     Yes, I would like to pre-order my Yearbook CD at $10 each. Number of copies ______